DUNGARVIN OKLAHOMA LLC
NPI 1356416028
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Oklahoma City, OK

Active since November 21, 2006
9210 S WESTERN AVE STE A-22, OKLAHOMA CITY, OK 73139(405) 759-2611(405) 759-2650 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 22, 2020, May 9, 2018 (2 updates tracked since 2018).

  • Organization
  • Community Based Residential Treatment Fa...

About DUNGARVIN OKLAHOMA LLC

This page provides the complete NPI Profile along with additional information for Dungarvin Oklahoma Llc, a provider established in Oklahoma City, Oklahoma operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1356416028 assigned on November 2006. The practitioner's primary taxonomy code is 320900000X with license number 100631340D (OK). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Lori Kress (Ceo)

NPI
1356416028 Verify this NPI
Provider Name
DUNGARVIN OKLAHOMA LLC
Entity Type
Organization
Location Address
9210 S WESTERN AVE STE A-22 OKLAHOMA CITY, OK 73139
Location Phone
(405) 759-2611
Location Fax
(405) 759-2650
Mailing Address
1444 NORTHLAND DR STE 200 MENDOTA HEIGHTS, MN 55120
Mailing Phone
(651) 699-0206
Mailing Fax
(651) 699-0799
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-21-2006
Last Update Date
04-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
100631340D
License State
OK
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LORI KRESS

Authorized Official Title
CEO
Authorized Official Phone
(651) 699-0206

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100631340DOTHER (01)OKOHCA PROVIDER ID

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
9210 S WESTERN AVE STE A-22
OKLAHOMA CITY, OK 73139
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
9210 S WESTERN AVE STE A-22
OKLAHOMA CITY, OK 73139
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
9210 S WESTERN AVE STE A-22
OKLAHOMA CITY, OK 73139
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
9210 S WESTERN AVE STE A-22
OKLAHOMA CITY, OK 73139
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
9210 S WESTERN AVE STE A-22
OKLAHOMA CITY, OK 73139

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356416028, enumerated as an "organization" on November 21, 2006.

The provider is located at 9210 S WESTERN AVE STE A-22 OKLAHOMA CITY, OK 73139 and the phone number is (405) 759-2611.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.